Organization
CRAIG KOSTRUBALA DDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG KOSTRUBALA DDS (OWNER)
(708) 346-9600
Entity
Organization
Contact information
Practice address
11107 S LAWLER AVE, ALSIP, IL 60803-6038
(708) 346-9600
Mailing address
11107 S LAWLER AVE, ALSIP, IL 60803-6038
(708) 346-9600
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019023283
IL
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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